Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.89 / $2,397.00 / $20,680.40	Facility		$1,200.89	$2,397.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,266.14 / $11,933.00 / $17,358.56	Facility		$1,266.14	$11,933.00	$17,358.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $887.53 / $1,956.77 / $2,376.46	Facility		$887.53	$1,956.77	$2,376.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.92 / $1,794.72 / $1,886.72	Facility		$1,326.92	$1,794.72	$1,886.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,266.14 / $1,266.14 / $1,286.91	Facility		$1,266.14	$1,266.14	$1,286.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00